Zimmerman v. American States Insurance

763 F. Supp. 228, 1990 U.S. Dist. LEXIS 19078, 1991 WL 66000
CourtDistrict Court, S.D. Ohio
DecidedApril 25, 1990
DocketNo. C-2-85-1971
StatusPublished

This text of 763 F. Supp. 228 (Zimmerman v. American States Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zimmerman v. American States Insurance, 763 F. Supp. 228, 1990 U.S. Dist. LEXIS 19078, 1991 WL 66000 (S.D. Ohio 1990).

Opinion

MEMORANDUM AND ORDER

HOLSCHUH, Chief Judge.

Plaintiff Jeanne C. Zimmerman brings this diversity action against defendant American States Insurance Company seeking payment of a $50,000.00 death benefit from a life insurance policy on plaintiff’s deceased husband. Jurisdiction and venue are proper and are not disputed. This case has been submitted by the parties on stipulated facts. This memorandum and order constitutes the Court’s findings of fact and conclusions of law. Fed.R.Civ.P. 52(a).

I.

The following facts have been stipulated by the parties.

On February 19, 1979, American States Insurance Company (hereinafter “American States”) issued a life insurance policy (number 304-739) in the amount of $50,-000.00 on the life of Robert Earl Zimmerman. The beneficiary of this policy was the insured’s wife and plaintiff in this action, Jeanne C. Zimmerman.

During all times up to the early part of December 1984, the monthly premiums on the policy were paid directly to American States by the insured’s bank upon the insured’s authorization. At only one point prior to December 1984 had the premium on the policy not been paid in a timely manner. In September 1980 the policy was in default due to the issuance of a non-sufficient fund check from the bank to American States. This error was presumably corrected as the policy remained in force up to December 1984.

Sometime in the first part of that month the authorization for the direct payment of the premium from the bank to American States was withdrawn by the insured. On December 18, 1984, American States received a request from the insured to surrender the policy and receive its cash value. The next day the policy was in default for nonpayment of premium and no further premiums were ever paid on the policy.

American States responded to the insured’s request for surrender for cash value of his policy by its letter of January 10, [229]*2291985. This letter advised the insured of other options rather than surrender, and informed the insured that if he still desired the cash value he would need to fill out an enclosed cash surrender form and return it with the policy itself.

On January 28, 1985, the insured completed the cash surrender form and mailed it along with the policy to American States. The insured died on January 29, 1985. American States did not receive the forms until January 31,1985. On or about February 27, 1985, American States received proof of insured’s death and the plaintiffs request for the $50,000.00 death benefit. American States tendered the cash value of the policy in a timely manner to the insured’s estate, but such tender was refused.

The parties have also stipulated that if plaintiff is not entitled to the $50,000.00 death benefit plus the interest due on it, the policy cash value of $2,196.00 plus interest is due to the Estate of Robert E. Zimmerman, to which Jeanne C. Zimmerman is the administratrix. The parties have waived their right to trial.

II.

This case turns on the question of whether the policy was in force at the time of the insured’s death thereby allowing recovery of the death benefit by plaintiff. There are two dates prior to the insured’s death on which the policy arguably terminated: (1) January 19, 1985, when the grace period following a nonpayment of premium expired; and (2) January 28, 1985, when the insured mailed the policy and surrender form. The issue presented is whether the policy terminated on either of those dates. This issue is to be “determined by a ‘ ... reasonable construction [of the contract] in conformity with the intention of the parties as gathered from the ordinary and commonly understood meaning of the language employed.’ ” King v. Nationwide Ins. Co., 35 Ohio St.3d 208, 211, 519 N.E.2d 1380, 1383 (1988) (quoting Dealers Dairy Products Co. v. Royal Ins. Co., 170 Ohio St. 336, 164 N.E.2d 745, paragraph one of the syllabus (1960)).

A. JANUARY 19, 1985

It is established that the policy was in default for nonpayment of premium on December 19, 1984. Defendant argues that the policy terminated following a 31-day grace period, during which time no further premiums were paid on the policy. Plaintiff responds that this argument ignores “the plain and express language of the Defendant’s January 10, 1985 letter.”

1.

The policy contains several provisions dealing with premiums and the effects of nonpayment. Under the heading “Premium Payments,” it states:

Premiums are payable to the company in advance beginning on the policy date and in the amount and at the intervals shown on the policy data page of this policy.

The policy data page indicates that the premium was to be paid on a monthly basis beginning February 19, 1979, the date when the contract for insurance was created. It is stipulated that the deceased cancelled his authorization for the bank to automatically pay the premium early in December of 1984. Also, the premium was not paid on the December due date nor at anytime thereafter.

The policy further provides:

GRACE PERIOD — DEFAULT IN PAYMENT OF PREMIUMS. A grace period of thirty-one days will be allowed for payment of each premium after the first. The policy will continue in force during the grace period unless surrendered. Any premium not paid before the end of its grace period will result in default. Default will terminate this policy as of the date on which the unpaid premium was due, except as provided by the surrender value options of this policy. (Emphasis added.)

This section clearly indicates that, upon the passing of the December 19 due date for the premium, a thirty-one day grace period commenced during which time the policy was continued in force. At the end of that thirty-one days, January 19, 1985, the policy would terminate unless the bal-[230]*230anee of the premium were paid before that date. No payment was made during the thirty-one days between December 19, 1984 and January 19, 1985 nor was any attempt to pay the premium ever made. Therefore, by the express terms of the contract, the policy coverage would have terminated on January 19, and no coverage would have been in existence at the time of the decedent’s death.

However, in its letter in response to the insured’s request to surrender the policy American States expressly states: “If we do not receive the policy and surrender form within 30 days, the policy will be continued in force and billed in the usual manner.” Notwithstanding the policy’s grace period provision, the American States letter clearly indicates that the policy will continue in force for at least thirty days from the date of the letter (January 10, 1985) and/or until the policy and surrender form were returned to American States. Accordingly, the Court concludes that the policy was not terminated by virtue of the premium default in December and the expiration of the 31-day grace period.

2.

Plaintiff alternatively argues that the policy remained in effect by virtue of its Automatic Premium Loan provision.

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Related

King v. Nationwide Insurance
519 N.E.2d 1380 (Ohio Supreme Court, 1988)

Cite This Page — Counsel Stack

Bluebook (online)
763 F. Supp. 228, 1990 U.S. Dist. LEXIS 19078, 1991 WL 66000, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zimmerman-v-american-states-insurance-ohsd-1990.